Self-reported subjective sleep quality and fatigue in patients with peritoneal dialysis treatment at home

Int J Nurs Pract. 2006 Jun;12(3):143-52. doi: 10.1111/j.1440-172X.2006.00566.x.


The aim of this study was to describe habitual sleep, daytime symptoms, sleep-disturbing factors, current sleep during 1 week and fatigue in patients with peritoneal dialysis treatment at home and also discover predictions for sleep quality outcome. The knowledge should increase possibilities for supportive nursing health care. Fifty-five patients answered two mailed questionnaires and filled in a sleep diary. Of these, 60% had moderate, persistent sleep problems combined with daytime symptoms. Nocturnal awakenings with difficulties falling asleep again and a sleep duration predicted as 57% of sleep quality. Nocturnal pruritus and 'difficulties finding a comfortable sleeping position' were significant sleep-disturbing factors. Sleep quality predictors means progress in knowledge about the complexity of the situation for peritoneal dialysis patients. Poor sleep, daytime symptoms, sleep-disturbing factors and chronic fatigue need to be enlightened, especially for the nephrology nurses who are in a unique position to give supportive nursing health care.

MeSH terms

  • Aged
  • Attitude to Health*
  • Data Collection
  • Fatigue / epidemiology
  • Fatigue / etiology*
  • Fatigue / psychology
  • Female
  • Health Services Needs and Demand
  • Health Surveys
  • Home Care Services* / organization & administration
  • Hospitals, General
  • Hospitals, University
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Nurse's Role
  • Nursing Methodology Research
  • Peritoneal Dialysis / adverse effects*
  • Peritoneal Dialysis / nursing
  • Prevalence
  • Risk Factors
  • Severity of Illness Index
  • Sleep Deprivation / epidemiology
  • Sleep Deprivation / etiology*
  • Sleep Deprivation / psychology
  • Surveys and Questionnaires
  • Sweden / epidemiology